Organization
MID-VALLEY HEALTHCARE, INC.
Active
Other names
Samaritan Health Clinic - Sweet Home
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL RACKHAM (CEO-SLCH)
(541) 768-6768
Entity
Organization
Contact information
Practice address
1289 49TH AVE STE 102, SWEET HOME, OR 97386-3230
(541) 451-6250
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
(541) 768-4410
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500651457
—
OR
Enumeration date
03/28/2012
Last updated
12/09/2024
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